• Title, Summary, Keyword: Lymphedema

Search Result 100, Processing Time 0.033 seconds

Comparisons of Physiological and Psychosocial Symptoms for Breast Cancer Patients with and without Lymphedema (유방암 환자의 림프부종 유무에 따른 신체적 및 심리사회적 상태)

  • Park, Jin Hee
    • Korean Journal of Adult Nursing
    • /
    • v.18 no.3
    • /
    • pp.357-366
    • /
    • 2006
  • Purpose: The purpose of this study were to examine the incidence of lymphedema and to compare to physiological and psychosocial symptoms between breast cancer patients with lymphedema and without lymphedema. Method: Four hundreds fifty women with breast cancer receiving mastectomy were recruited from two out-patient breast clinics of A and S university hospitals in Seoul, Korea from October, 2004 to May, 2005. Lymphedema was defined by circumferential measurement. Differences greater than 2cm between the affected arm and normal arm were considered to be lymphedema. A descriptive design was used for this study and data was collected using a structured questionnaire. The data were analyzed using descriptive statistics and independent t-test. Results: Lymphedema developed in 112(24.9%) of the 450 subjects. Subjects with lymphedema reported more severe sensation change of arm and more depression and confusion than subjects without lymphedema. Range of motion of shoulder as a physical indicator and social support, however, were not significantly different between the two groups. Conclusion: Lymphedema is recognized as an unpleasant and uncomfortable consequence of breast cancer-related treatment. Therefore, more research is needed to evaluate the impact of lymphedema on quality of life in patients with lymphedema and the efficacy of nursing intervention.

  • PDF

Measurement of Quality of Life of Breast Cancer Patient With Arm Lymphedema Using the SF-36 (Korean version)

  • Kim, Sung-Jung
    • Physical Therapy Korea
    • /
    • v.13 no.4
    • /
    • pp.87-93
    • /
    • 2006
  • The purpose of this study was to compare the quality of life (QOL) between breast cancer patients with lymphedema and without using the SF-36 (Korean version). Fifty-three consecutive, unselected patients who underwent treatment for breast cancer patients with lymphedema and 37 patients without lymphedema from August 4, 2004 to October 13, 2005 were interviewed and asked to complete the SF-36. These data were used to test the hypothesis that breast cancer patients with lymphedema experience impaired quality of life relative to their control group. The lymphedema group scored poorer than the control group on six of the eight subscales as well as the physical component summary scale of the SF-36 (p<.05). Only bodily pain didn't show statistical difference (p>.05). Breast cancer patients with lymphedema appear to experience problems in multiple quality of life domains compared with without lymphedema group. These findings demonstrate the need for interventions to improve the quality of life in breast cancer patients with lymphedema.

  • PDF

Management of Lymphedema

  • Choi, Jaehoon;Lee, Seongwon;Son, Daegu
    • Archives of Reconstructive Microsurgery
    • /
    • v.26 no.1
    • /
    • pp.1-8
    • /
    • 2017
  • Lymphedema is a frequent complication after the treatment of various cancers, particularly breast cancer, gynecological cancers, melanomas, and other skin and urological cancers. Lymphedema patients have chronic swelling of the affected extremity, recurrent infections, limited mobility and decreased quality of life. Once lymphedema develops, it is usually progressive. Over time, lymphedema leads to fat deposition and subsequent fibrosis of the surrounding tissues. However, there is no cure for lymphedema. Recently, the development of microsurgery has led to introduction of new surgical techniques for lymphedema, such as vascularized lymph node transfer. We report here the latest trends in the surgical treatment of lymphedema, as well as diagnosis and conventional treatments of lymphedema.

The Relationship between Practice in Lymphedema Self-care Management and Health-related Quality of Life in Breast Cancer Patients with Mastectomy (림프부종 자가 관리 실천 정도와 유방절제술 환자의 삶의 질과의 관계)

  • Choi, Eun Nyer;Choi, Hye Ran
    • Journal of Korean Critical Care Nursing
    • /
    • v.6 no.1
    • /
    • pp.21-33
    • /
    • 2013
  • Purpose: The purpose of this study was to examine the relationship between lymphedema self-care management and quality of life in breast cancer patients with mastectomy and lymphedema. Methods: One hundred and eighty-six breast cancer patients with mastectomy and lymphedema (n=186) were recruited at a medical center located in Seoul. The levels of lymphedema self-care management and quality of life were measured by the scale for measurement of practice in lymphedema self-care management, European Organization for Research and Treatment of Cancer-Quality of Life Core 30 (EORTC QLQ-C30) and European Organization for Research and Treatment of Cancer-Quality of Life Questionnaire Breast Cancer Module (EORTC QLQ BR23), respectively. Data were analyzed with SPSS 18.0 program. Results: There were statistically significant correlations between lymphedema self-care management and general health status/quality of life in mastectomy patients with lymphedema (r=.30, p<.001). The physical function score of cancer related function scale (r=-.15, p=.033), fatigue score of cancer related symptom scale (r=.15, p=.036), systemic side effect score of breast cancer related symptom scale (r=.45, p=.034), and upset by hair loss (r=.27, p=.004) were significantly correlated with quality of life. Conclusion: The findings suggest that these significant factors should be considered when caring for lymphedema patients.

  • PDF

Physical Therapy of Male External Genitalia Lymphedema from Urological Cancer -Case Report- (비뇨기 암으로 인한 남성 외성기 림프부종의 물리치료 -사례연구-)

  • So, Woon-Young;Kim, Sung-Joong
    • The Journal of Korean Physical Therapy
    • /
    • v.21 no.4
    • /
    • pp.103-109
    • /
    • 2009
  • Purpose: Cases of male external genitalia lymphedema are relatively uncommon in the clinical physical therapy field. Of more than two thousand clinical cases treated by the author in the lymphedema treatment center, only 4~5 cases of male external genitalia lymphedema were encountered. The present case report presents the experience and treatment results of male external genitalia lymphedema from urological cancer. Method: This case was a 47-year-old man, who was treated with complex decongestive physical therapy consisting of manual lymph drainage, compression bandage (including the external genitalia), remedial exercise, skin care. Result: The results were relatively good. The clinical experience would suggest that early treatment and education can reduce the external genitalia lymphedema. However, the treatment efficacy remains limited. Therefore, early treatment is vital for more successful outcomes. Conclusion: The relief of symptoms and a decrease in male external genitalia lymphedema may be the best result from long-term conservative management.

  • PDF

A Case Showing the Effect of Partial Decompression Therapy on Patient with Lymphedema (임파부종 환자에서 부분 감압술을 통해 효과를 본 사례)

  • Yeom, Chang-Hwan;Jung, Gyou-Chol
    • Journal of Hospice and Palliative Care
    • /
    • v.6 no.2
    • /
    • pp.177-179
    • /
    • 2003
  • Lymphedema is the most common of complications after surgery and radiotherapy in patients with breast cancer or cervical cancer. The cancer itself is a worry, but the lymphedema ia an additional handicap for the patients, both physical and psychosoical. Recently the best treatment of lymphedema is complete lymphedema therapy, and Dr. Foldi developed in 1980s. But this treatment has not always given satisfactory and permanent results. We report a case of the lymphedema patient who was treated by partial decompression therapy.

  • PDF

The Effects of Breast Reconstruction Using Latissimus Dorsi Myocutaneous Pedicled Flap for Lymphedema (광배근근피판을 이용한 유방재건술이 림프부종에 미치는 영향)

  • Park, Jung Min;Heo, Jung;Ha, Jae Sung;Lee, Keun Cheol;Kim, Seok Kwun;Jo, Se Heon;Lee, Kyung Woo
    • Archives of Plastic Surgery
    • /
    • v.33 no.3
    • /
    • pp.294-297
    • /
    • 2006
  • Lymphedema is one of the most common complications of mastectomy. It decreases quality of life and causes functional or aesthetical problems in post-mastectomy patients. Axillary lymph needs dissection (ALND), and radiation therapy(RTx) is known as the representative factor of lymphedema. Authors discovered that breast reconstructions using latissimus dorsi(LD) myocutaneous flap decrease the incidence of lymphedema in spite of these risk factors. Therefore we compared the incidence of lymphedema between the patients who underwent breast reconstructoins by LD pedicled flap, and the patients who did not undergo breast reconstructions from January 2002 to December 2004. Lymphedema was diagnosed when difference of arm circumference was over 2cm or limitation of joint movement was greater than 20 degrees. Overall incidence of lymphedema was 14.0%, and it was 18.9% in case of ALND, and 21.1% in case of RTx, respectively. But the incidence of breast-reconstructed patients using LD pedicled flap was 3.3%. This result reveals that LD pedicled flap decreases incidence of lymphedema significantly. In the future, it is recommended to identify the causes of decrease in the incidence of lymphedema in case of breast reconstructed by LD myocutaneous pedicled flap, for example lymphoscintigraphy and so on.

One Case of Effect of Complex Lymphedema Therapy(CLT) on Elephantiasis of the Leg (상피증 환자에서 복합적인 림프부종 치료법을 통해 효과를 본 1예)

  • Yeom, Chang-Hwan;Hong, Young-Sun
    • Journal of Hospice and Palliative Care
    • /
    • v.4 no.2
    • /
    • pp.161-164
    • /
    • 2001
  • Elephantiasis, which is the final stage of lymphedema, has swelling, papillomas and discharges in the skin. Although this disease is recorded in literature since 50 AD, the treatment is not yet. After all this time, complex lymphedema therapy (CLT) involving lymphatic massaging, bandaging, exercise, and skin care is becoming recognized as the best approach to care for people who develop lymphedema. The patient was a 30-year-old male who complained of swelling, papillomas, and discharges on left leg. He was received with CLT for 2 months, and the symptoms of him were improved.

  • PDF

Demonstration of the Usefulness of Optical Coherence Tomography in Imaging a Mouse Tail Model of Lymphedema

  • Kim, Hui Dong;Kim, Dong Kyu;Chae, Yu-Gyeong;Park, Seok Gyo;Kim, Ghi Chan;Jeong, Ho Joong;Sim, Young-Joo;Ahn, Yeh-Chan
    • Current Optics and Photonics
    • /
    • v.1 no.2
    • /
    • pp.132-137
    • /
    • 2017
  • To investigate the usefulness of optical coherence tomography (OCT) for imaging lymphedema, we directly compared it to other histological methods in a mouse model of lymphedema. We performed detailed imaging of the lymphedema lesion on a mouse tail. We imaged the mouse tail in vivo with OCT and created histopathological samples. We constructed a spectrometer-based OCT system using a fiber-optic Michelson interferometer. The light was directed to 50:50 couplers that split the light into reference and sample arms. Backscattered light from a reference mirror and the sample produced an interference fringe. An OCT image of the lymphedema model revealed an inflammatory reaction of the skin that was accompanied by edema, leading to an increase in the light attenuation in the dermal and subcutaneous layers. Similar to OCT image findings, histological biopsy showed an inflammatory response that involved edema, increased neutrophils in epidermis and subdermis, and lymphatic microvascular dilatation. Furthermore, the lymphedema model showed an increase in thickness of the dermis in both diagnostic studies. In the mouse tail model of lymphedema, OCT imaging showed very similar results to other histological examinations. OCT provides a quick and useful diagnostic imaging technique for lymphedema and is a valuable addition or complement to other noninvasive imaging tools.

Development of Quantitative Lymphedema Screening System to Monitor Change in Skin Elasticity through the Measurement of Indentation Force and Return Time (피부의 탄성변화에 따른 피부 가압과 복귀시간 측정을 통한 정량적 림프부종 진단 시스템 개발)

  • Seo, Jong Hyun;Cho, Chang Nho;Kim, Sung Chun;Chung, Seung Hyun;Koh, Eun Sil;Kim, Kwang Gi
    • Journal of Biomedical Engineering Research
    • /
    • v.34 no.4
    • /
    • pp.170-176
    • /
    • 2013
  • Lymphedema is a phenomenon in which fluid is accumulated inside tissues due to the damaged lymphatic systems. Lymphedema can cause complications such as lymphangitis, infection, changes in skin texture, fibrosis, and lymphangiosarcoma. In this study, a lymphedema screening system based on the elasticity of the skin is proposed to easily quantify lymphedema. The developed probe consists of touch sensors, a load cell and hall-effect sensors to measure the indentation force on the skin and the return time of the skin. The developed system can be used to estimate the change in the elasticity of the skin to quantify lymphedema. The system was tested with a thyroid phantom and gelatin phantoms of different concentrations and the resulting force and the time were recorded. It was found that the increase in the elasticity leads to a higher indentation force and shorter return time. This shows that the developed system can monitor the change in the skin elasticity by measuring the return time and the indentation force. The feasibility of the system in clinical applications will be evaluated in the future study.